Sec Form 4 Filing - Pollock Ryan @ Urgent.ly Inc. - 2023-10-19

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Pollock Ryan
2. Issuer Name and Ticker or Trading Symbol
Urgent.ly Inc. [ ULY]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
C/O URGENT.LY INC., 8609 WESTWOOD CENTER DRIVE, SUITE 810
3. Date of Earliest Transaction (MM/DD/YY)
10/19/2023
(Street)
VIENNA, VA22182
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 10/19/2023 A 14,164 ( 1 ) A $ 0 14,164 D
Common Stock 10/19/2023 M 151,109 A $ 0.09 513,323 ( 2 ) I See footnote ( 3 )
Common Stock 10/19/2023 F( 4 ) 643 D $ 0.09 512,680 I See footnote ( 3 )
Common Stock 10/19/2023 C 376,567 A $ 13.77 889,247 I See footnote ( 3 )
Common Stock 10/19/2023 C 31,585 A $ 16.94 920,832 I See footnote ( 3 )
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code
(Instr. 8 )
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Warrant (right to buy) $ 0.09 10/19/2023 M 151,109 ( 5 ) 09/30/2027 Common Stock 151,109 $ 0 0 I See footnote ( 3 )
Convertible Notes $ 13.77 ( 6 ) 10/19/2023 C 376,567 ( 7 ) 06/30/2024 Common Stock 376,567 ( 6 ) $ 0 0 I See footnote ( 3 )
Convertible Notes $ 16.94 ( 6 ) 10/19/2023 C 31,585 ( 7 ) 06/30/2024 Common Stock 31,585 ( 6 ) $ 0 0 I See footnote ( 3 )
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Pollock Ryan
C/O URGENT.LY INC.
8609 WESTWOOD CENTER DRIVE, SUITE 810
VIENNA, VA22182
X
Signatures
/s/ Timothy C. Huffmyer, by power of attorney 10/22/2023
Signature of Reporting Person Date
Explanation of Responses:
( 1 )The reported shares are represented by restricted stock units, or RSUs, which vest in three equal annual installments beginning on October 19, 2024.
( 2 )The amount of securities beneficially owned includes 335,096 shares previously reported on a Form 3 as convertible notes. These notes converted and the underlying shares were issued prior to the Form 3 triggering event.
( 3 )The shares are held of record by Iron Gate Urgently, LLC (the "LLC"). As a member of the managing committee of Iron Gate Management, the manager of the LLC, the reporting person shares investment and voting control with respect to the shares held of record by the LLC.
( 4 )The reporting person exercised a warrant to purchase 151,109 shares of Issuer common stock for $0.09 per share. The reporting person paid the exercise price on a cashless basis, resulting in the Issuer withholding 643 of the warrant shares to pay the exercise price and issuing the remaining 150,466 shares to the reporting person.
( 5 )The warrants were immediately exercisable into an equal number of shares of Common Stock.
( 6 )The reported amount reflects the shares issuable or the applicable exercise price in connection with the merger of Otonomo Technologies Ltd. and the Issuer.
( 7 )The convertible notes are exercisable upon the occurrence of certain events as set forth in the note agreement.

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
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